Provider Demographics
NPI:1255030227
Name:HARBER, NIKKI (OTR/L)
Entity type:Individual
Prefix:
First Name:NIKKI
Middle Name:
Last Name:HARBER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:HENSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1478 WALKATH DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-2357
Mailing Address - Country:US
Mailing Address - Phone:614-593-2815
Mailing Address - Fax:
Practice Address - Street 1:603 DILEY RD
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-9939
Practice Address - Country:US
Practice Address - Phone:614-655-7478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT012292225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist